Dr. Iñaki Lekuona GoyaAdult Cardiology

Dr. Iñaki Lekuona GoyaAdult Cardiology

Dr. Lekuona is a renowned Cardiologist with 30 years of experience in their professional development. The doctor noted for its extensive training and ongoing training recycling, in which more than 250 communications to national and international conferences are included, as well as different doctoral courses and expert. It also develops an important research work, participating in numerous studies multicéntricos.Ostenta the Head of Service of the Galdakao-Usansolo Cardiology Hospital and the Cardiology Hospital Quirón Vizcaya

• Former President Vasco- Navarra Society of Cardiology• Former member of the Hypertension Section of the Spanish Society of Cardiology • Member of the Continuing Education Committee of the Spanish Society of Cardiology ...

Professor

• Master Corrector in Cardiology of the Spanish Society of Cardiology 2011

Arrhythmia is an abnormal heart rhythm. The rhythmic succession of heartbeat in an adult at rest is between 60 and 100 beats per minute, so that when Arrhythmia is an abnormal heart rhythm. The rhythmic succession of heartbeat in an adult at rest is between 60 and 100 beats per minute, so that when these are increased significantly beats talking about sinus tachycardia, whereas if failing heartbeat is slow it down, is is sinus bradycardia. In tachycardia, the heart experiences a substantial acceleration fruit of a tremendous physical effort or in response to organizational needs. When no alteration occurs in the number of beats in frequency but these appear in discussing cardiac arrhythmia. In atrial fibrillation, the beats have increased and unbalanced; On the contrary, where there will be a lock deficit beats can result in clinically palpitations or blackouts. ...

Arteriosclerosis or atherosclerosis is the most common disease of the arteries. Is a hardening, thickening and loss of elasticity of arteries. SeveralArteriosclerosis or atherosclerosis is the most common disease of the arteries. Is a hardening, thickening and loss of elasticity of arteries. Several factors may be involved in the etiology of atherosclerosis are known, such as: pathologies such as cholesterol or blood pressure; factors related to sex, heredity, ethnic, snuff consumption, sedentary lifestyle, stress nerve…All these factors seem to play a very important role in the appearance of this pathology. The clinic will depend on the affected vascular territory and manifest themselves with symptoms of the affected organ. In addition, treatment is aimed at guiding people with a family history to control what risk factors soon as possible, insisting that they follow a proper diet, regular physical activity performed, and in the event that these measures were not enough, would require medical treatment.
...

The atrial fibrillation surgery aims to restore sinus rhythm (normal heart rhythm) in patients presenting some cardiac pathology. The technique used The atrial fibrillation surgery aims to restore sinus rhythm (normal heart rhythm) in patients presenting some cardiac pathology. The technique used to carry out this operation is highly complex and is based on the performance of various lines of scars at the level of the atria, to create a unique path for transmission of the electrical impulse from the sinus node to the atrioventricular node. The ultimate goal is to prevent those improper electrical stimuli that cause atrial fibrillation are transmitted. Currently, among the techniques used in this type of surgery the use of ultrasound, radiofrequency and cryotherapy is contemplated; action creates pathways for the transmission of electrical impulses, just as scars induced in traditional surgery. ...

The factors that provide an cardiovascular risk are those who are associated with a greater likelihood of cardiovascular disease such as cholesterol, The factors that provide an cardiovascular risk are those who are associated with a greater likelihood of cardiovascular disease such as cholesterol, diabetes, hypertension, smoking, genetic inheritance, stress, obesity and heart rate. These agents affect both the arteries of the heart as the other parts of the body such as the brain, kidney and lower limbs. The most common consequences are myocardial infarction or cardiovascular events such as thrombosis, embolism and cerebral hemorrhage. There are aspects that predispose people to suffer them as age, sex, race and, above all, family history. Also, maintain a balanced diet also prevents the control of blood pressure, cholesterol and blood glucose.
...

Cholesterol is a sterol (lipid or fat) that the human body needs to function properly, but too much cholesterol in the blood is bad because it can cause heart disease and stroke, among other problems. The cholesterol tends to increase with age but usually causes no symptoms, only detected with a blood test. People with family history of overweight or consuming lots of high-fat meal are very likely to have high cholesterol levels. You can lower cholesterol by performing exercise and consumption of fruits and vegetables. ...

Dilated cardiomyopathy is a disease that affects the heart and is characterized by being weakened and enlarged. This leads to the result that the heart can not pump to the body enough blood. The main causes of this disease are coronary artery disease and hypertension. Dilated cardiomyopathy symptoms such as pain or pressure in the chest, coughing, fatigue, loss of appetite and swelling of the feet, among others.
...

The echocardiogram is a diagnostic test based on the use of ultrasonic techniques using ultrasound emission on the chest area, heart reach several structures reflecting on them again to be collected, analyzed and represented through graphics. The echocardiographic analysis or ultrasound of the heart represents a histogram of the mobility of the heart muscle and is especially useful for the study of the functioning of heart valves and their pathology. Also, this diagnostic test is useful for post-surgical follow-metal stents them. Furthermore, the development of B-scan is a plane scanning ultrasonic viewing images in real time that allows calculation of volumes and areas of valvular orifices, which serves to complete medical diagnostics. ...

The electrocardiogram (ECG) is a diagnostic test that is a record, with special tools (electrocardiogram) of the electrical activity of normal heart and presenting pathology. It also constitutes one of the most important knowledge and appreciation of most of the heart techniques. Also, electrocardiography provides an invaluable diagnostic aid growth of different heart chambers (atria and ventricles). In many cases, the diagnosis of congenital heart disease is known from the characteristic plot of this. In fact, the ECG provides important data for the evaluation of more than 80% of heart disease. ...

Angina is a medical pathology manifested clinically by intense thoracic pain, because of insufficient blood flow that supplies the heart through the coronary arteries usually appears abruptly and lasts a short time. Also characteristic is the feeling of constriction in chest level, often radiating to the left arm or jaw. Also, the anginal attack can cause symptoms to generalized level, as paleness, cold sweats, anxiety and strong sense of immediate death, but usually lasts a couple of minutes. Always it is a medical emergency and the medical performance in the first time is critical. Myocardial infarction would be the ultimate expression of angina.
...

Myocardial infarction occurs when a coronary artery is blocked, dying a portion of the heart muscle. The clogged artery, blood supply to the heart is suppressed. If prolonged, the tissue dies and does not regenerate....

Heart failure occurs when the body in a permanent obstacle is located in the blood circulation. This may be located within the heart muscle or outside, which causes an increase in blood pressure. There are two types of heart failure: systolic, when the heart muscle can not pump blood and ridding the heart; and diastolic pressure when the heart muscles are stiff and not fill with blood. Both are treatable. First, avoid any effort that work overload of the heart, and then, deliver drugs that provide vitality to exhausted heart muscle. Additionally, when the obstacle is within the coronary arteries of coronary insufficiency talk.
...

A heart murmur is a noise comparable to that makes the air in a torch, which is usually pathological, although young children may be normal. You can listen using a device called phonendoscope, which is placed at chest level. The heart murmurs are always indicative that there is increased blood flow to heart level, either by an alteration to the level of a heart valve or a noncardiac cause. Besides, the situation blow, the sonic character, location, irradiation, and the variation by reference to the effort and the change of position, are always data to take into account because they offer a lot of information regarding the pathology that He has caused.
...

Hypercholesterolemia is the presence of blood cholesterol above normal levels. This increase is often associated with heart problems, diet, sex, lifestyle and endogenous synthesis. Thus the concentration of blood cholesterol hereditary and dietary factors involved, along with other related physical activity. We can distinguish two types of hypercholesterolemia. Primary, derived from problems with cholesterol transporters systems and genetic factors, and the secondary, where the increase in cholesterol is associated with certain liver, endocrine and kidney disease. ...

Hypertension is the increase in blood pressure either on a temporary, intermittent or permanent, always above considered a normal values ​​ranging between 160/95mmH, according to the World Health Organization. Clinically, it can not give symptomatology or, conversely, take the form of severe headaches, congestion of the face… Aparate, arterial hypertension (HT ) is associated with significant morbidity and mortality index is one of the most important public health problematic in developed countries. Hypertension is treated with general measures such as a balanced, low-fat diet, and medication treatment. This often avoid complications that can result from poorly controlled hypertension, a heart, eyes and kidneys.
...

Hypertension is the increase in blood pressure either transiently, intermittent or permanent, always above a level considered normal values ​​ranging from 160 / 95mmH, according to the World Health Organization. Clinically, it can not give symptoms or, conversely, manifested in the form of severe headaches, congestion face ... Aparate, high blood pressure (hypertension) is associated with high morbidity and mortality rate is one of the problems most important public health in developed countries. Hypertension is treated with general measures such as a balanced, low-fat diet and drug therapy. This will prevent in many cases the complications that can result from poorly controlled hypertension, a heart, eyes and kidneys. ...

Stroke means the sudden cessation of cerebral circulation after injury of cerebral vessels, which starts unexpectedly and can develop within minutes in major neurological syndromes. Three basic ways of mechanisms of action are known: haemorrhagic (atherosclerosis and hypertension are usually most frequent causes them); cerebral thrombosis, arteriosclerosis again being the most common cause; and, thirdly, strokes. Clinically, depending on the location of the lesion some specific neurological signs, which may be in the form of motor, sensory impairment, and, in severe cases, coma and death will manifest. In the overall treatment of stroke it is essential to control risk factors such as hypertension, heart disease, snuff, diabetes mellitus ...
...

Myocarditis is inflammation of the heart muscle. It is a rare disease and can be caused by several factors: infections, allergic reactions, diseases with an immunological basis, etc. In some patients, there are no symptoms, but in most the disease is manifested by chest pain, fatigue, fever, joint pain, or shortness of breath, among other symptoms. For diagnosis, it is necessary to perform a series of tests (general analytic, an ultrasound of the heart and an electrocardiogram), and treatment aims to eradicate what caused the inflammation of the heart muscle by prescribing antibiotics or anti-inflammatory and recommendation salt diet or decreased physical activity. In many cases, recovery with proper treatment may involve the complete cure of the patient, preventing further complications such as heart failure.
...

Palpitations are heartbeat of sudden onset and violent, sensitive and annoying. Normally the heart action is perceived only in a situation of stress, strong emotion or after the completion of an important exercise. But heart palpitations can occur in certain pathological states in which the heartbeat increase in intensity and frequency, as in the case of tachycardia, which can be a symptom of cardiac or noncardiac disease, such as: a significant anemia , an increase of thyroid function, liver disease, or other conditions; but they can also occur after drinking alcohol, tea, coffee and other stimulants. ...

Pericarditis is inflammation of the serous membrane, ie, the outer coat that surrounds the heart sac. It may be due to an infectious origin, or appear without apparent cause or after a general infection like pneumonia, tuberculosis ... All symptoms are cardiocirculatory from dyspnea heart failure, through oppression or symptoms of decompensation; and clinically manifested with choking and intense stabbing chest pain level. In many cases, it is generally a benign condition that refers to own treatment of the symptoms presented by the patient, but in exceptional cases, surgical treatment may be necessary. Pericarditis can give a very similar clinical cardiomyopathy but it is important to differentiate since the treatment is completely different. ...

Preventive cardiology is the set of measures intended to protect the person of the possibility of developing a specific medical condition. The high incidence and high mortality from ischemic heart disease have been raising awareness in the society for prevention campaigns, awareness and mentation, with the aim of trying to prevent and combat the so-called risk factors: obesity, snuff, hypertension, sedentary lifestyle, hypercholesterolemia ... This type of action prior to the onset of the disease is called primary prevention, while in high even certain medical or surgical guidelines, such as bypass surgery would be used to improve the quality and survival.
...

It is known as stress test or treadmill test electrocardiographic medical examination which is generally used for diagnosis and assessment of heart failure or angina. Over the years, its use has expanded the use of this test but can not be performed on all patients suffering from heart diseases because it can pose some risks for the efforts involved in their implementation. To realize this, a static or ergonometric bicycle is used, following a methodology of progression overload thereof as a strong official protocol. The patient is monitored to control the test pulse rate, blood pressure, oxygen consumption and electrocardiographic changes and clinical response to stress (pain, fatigue ...).
...

Syncope, fainting or fainting are practically synonymous and are defined as loss of consciousness. In the fainting, patients are aware that their forces are dwindling and that at any moment your body may collapse and lose consciousness. In syncope, the patient loses consciousness abruptly without prior sítomas. The causes of syncope can be very diverse, from cardiovascular like arrhythmias or heart disease, neurovascular up as migraines and pharmacological or metabolic causes. Treatment involves keeping the patient with elevated legs and head bowed in a well ventilated and no crowds. Second, if that were not enough, there must be the primary cause of the fainting patient. As for treatment, there is no drug to prevent the occurrence of these fainting. ...

The chest pain is a pain in the front of the chest that may be a symptom of many diseases: heart disease, such as acute myocardial infarction, heart failure, or pericarditis; respiratory infectious type, such as influenza, pneumonia; nerve, such as anxiety attacks; osteoarticular and muscle u. However, keep in mind that despite the feeling severe pain in the chest, often the causes are not dangerous to the health of the individual. Since the cause of chest pain can be multiple, to avoid any mishap, it is essential quick reference to specialist for immediate treatment, in case it is needed.
...

The test tilt or tilt-table test is used to find the cause of syncope suffered by the patient. To perform the test, the subject must be tied by the arms and feet reclining on a special table, and will insert an intravenous catheter in one arm while the other will be placed a bracelet to control blood pressure. In addition, to analyze heart rate, you put a set of electrodes connected to an electrocardiograph for electrocardiograms constant during the time of performing the test. The individual will upset your heart rate to the point where eventually lose consciousness, emulating syncope. Thus, the detailed results of the test will start drug treatment to prevent the patient to return to fainting.
...

It means venous insufficiency difficulties in the venous return of blood flow through the veins, either by the presence of a stenosis in the vessel, by an insufficiency of valves therein, or because they have lost the elasticity of its walls, expanding and leading to varicose veins. Risk factors that predispose to this disease are obesity, age, genetic factors, multiple pregnancies, remain standing long hours ... Venous insufficiency is manifested by symptoms such as itching, redness of the skin at the ankles and distal part of the foot, swelling, discoloration in the area, superficial varicose veins and leg ulcers, among others. Treatment consists of the use of elastic stockings and avoid spending long hours in one position, and other factors that predispose to its formation. If these measures prove insufficient, the drug treatment will be necessary and / or surgery. ...

Source: All information contained on this page as well as office hours available, are provided directly by the doctor who has the ability to update them at all times in order to keep the information as accurate as possible.

BOOK AN APPOINTMENT NOW

Choose a time on the calendar to book online

Ops! This time has just been booked by another user. Please choose an alternative time.

You may be attended by another doctor who is member of the Team. Do you want to book the appointment in any case?